CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Medical Center-New Hampton

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,007
  • Cash Discount Price: $693
  • vs. Medicare Baseline: 9.43x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Medical Center-New Hampton is $1,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $693. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.43x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$693

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,007

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $693 (649%)
Insurance Median: $1,007 (943%)
Cash: $693 (649% of Medicare)
Ins. Median: $1,007 (943% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 943% of the Medicare baseline (a markup of 843%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $422 395%
Aetna $426 - $1,007 399%
Medicare (plans) $431 - $476 404%
UnitedHealthcare $452 - $640 423%
Health Choices $538 504%
Medical Associates $538 504%
Amish Hospital Aid $567 531%
Oscar $627 587%
Geha $640 599%
Ambetter / Centene $716 670%
Iowa Total Care $728 682%
Medicaid / KanCare $739 - $743 692%
Claimdoc $857 802%
Nova $857 802%
1199 National Benefit Fund $1,007 943%
Allied Benefit Systems $1,007 943%
Asr Health Benefits $1,007 943%
Coventry $1,007 943%
First Health $1,007 943%
Lucent Health $1,007 943%
Luminare Health $1,007 943%
Medical Mutual $1,007 943%
Meritain $1,007 943%
Trustmark Small Business Benefits $1,007 943%
Webtpa $1,007 943%
First Choice Health $1,013 948%
Health Partners $1,024 959%
Auxiant $1,034 968%
Cigna $1,034 968%
Medica $1,034 968%
Midlands $1,034 968%
Midlands Choice $1,034 968%
Crime Victim Assistance $1,066 998%
Iowa Dept Of Public Health $1,066 998%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals